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MALLORY EDMONDSON MSDH, RDH
NPI 1467920892
Dental Hygienist in South Bend, IN

Active since November 03, 2018
1002 S ESTHER ST, SOUTH BEND, IN 46615(219) 363-8866 Get Directions Write a Review

NPPES record last updated: November 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Edmondson Msdh, Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY EDMONDSON MSDH, RDH (NPI 1467920892) is an individual dental hygienist in South Bend, Indiana, licensed in Indiana (13007311A) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1467920892
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMALLORY EDMONDSONCredential: MSDH, RDH
Location Address1002 S ESTHER STSouth Bend, IN 46615-1440
Mailing Address4511 N 600 ERolling Prairie, IN 46371-9511 · (219) 363-8866
Phone(219) 363-8866
Sole ProprietorNo
Enumeration DateNovember 3, 2018
✔ NPI 1467920892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IN · 13007311A
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1002 S ESTHER ST, South Bend, IN 46615
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVESH PATEL D.D.S
Dentist
1002 S ESTHER ST
SOUTH BEND, IN 46615
St. Joseph County (574) 307-7673
HEALTHLINC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1002 S ESTHER ST
SOUTH BEND, IN 46615
St. Joseph County (219) 477-6082
ANDREA RAMTHUN DDS
Dentist
1002 S ESTHER ST
SOUTH BEND, IN 46615
St. Joseph County (574) 307-7673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Edmondson's NPI number?

The NPI number for Mallory Edmondson is 1467920892. It was assigned to this individual provider in the NPPES registry on November 3, 2018.

Where is Mallory Edmondson located?

Mallory Edmondson practices at 1002 S Esther St, South Bend, IN 46615. The listed phone number is (219) 363-8866.

What is Mallory Edmondson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Mallory Edmondson was last updated on November 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.